JAYSON TAKEJI MASAKI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066569

License Status

CANCELLED

Business

Title

First Name

JAYSON

Middle

TAKEJI

Last Name

MASAKI

Business Name

JAYSON TAKEJI MASAKI MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

05/15/2015